Price Checker / CPT 36513
CPT 36513 — Apheresis platelets
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$88
What Medicare pays in a hospital/ASC setting
$88
What Medicare pays in a physician's office
$7,862
Based on 131 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 36513
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| UPMC Montefiore , PA | $38,602 | $30,882 | 43676% |
| UPMC Presbyterian , PA | $38,602 | $30,882 | 43676% |
| UPMC Shadyside , PA | $38,602 | $30,882 | 43676% |
| Dominican Hospital , CA | — | — | 26382% |
| HCA HOUSTON HEALTHCARE KINGWOOD Kingwood, TX | — | — | 21775% |
| HCA Houston Healthcare North Cypress Cypress, TX | — | — | 21775% |
| "Children's Hospital of Philadelphia" , PA | $16,086 | $16,086 | 18143% |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Houston, TX | — | — | 15589% |
| HCA HOUSTON HEALTHCARE NORTHWEST Houston, TX | — | — | 15589% |
| HCA HOUSTON HEALTHCARE PEARLAND Pearland, TX | — | — | 15589% |
| HCA HOUSTON HEALTHCARE SOUTHEAST Pasadena, TX | — | — | 15589% |
| HCA HOUSTON HEALTHCARE WEST Houston, TX | — | — | 15589% |
| "Loma Linda University Children's Hospital" , CA | $12,815 | $7,048 | 14433% |
| Loma Linda University Medical Center , CA | $12,454 | $6,850 | 14023% |
| Framingham Union Hospital , MA | — | — | 13924% |
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About CPT 36513
CPT code 36513 refers to “Apheresis platelets”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $88 in a facility (hospital or ambulatory surgery center) and $88in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.